Smoking-Related Diseases

Baroness Walmsley Excerpts

Wednesday 14th September 2016 Lords Chamber

[Baroness Walmsley (LD)]

My Lords, last year, the Minister Jane Ellison confirmed that the Government were working on a new anti-smoking plan to be published this summer. I too hope that we are going to hear news about that from the Minister today. Jane Ellison stated that the Government would seek to,

“further empower local areas and support action within them, particularly where tobacco control strategies can be tailored to the unique needs of local populations”.—[Official Report, Commons, 17/12/15; col. 636WH.]

The Government, she said, would also seek to tackle the “stark differences” in health outcomes among smokers from different parts of the country. I strongly support those ambitions but fear that those words have not yet been translated into enough action. Indeed, the Government’s action in making cuts to public health funding for local authorities has flown in the face of those objectives.

The BMJ says that prescription medication and personal support are the best routes to quitting smoking. The Government agree, and yet up and down the country local authorities have reluctantly had to cut these services. The Government, therefore, are relying on the commercial supply of expensive aids to quit smoking, such as patches and electronic cigarettes, in order to achieve further reductions in smoking. I would like to know whether the Government support prescribing more of those aids to the people who really need them but cannot afford to buy them.

The Government have also said that although they believe that e-cigarettes can help smokers quit smoking, they are,

“not harmless and there is a lack of evidence on their effects in long term use”.

I would certainly agree with that. There is massive evidence that e-cigarettes are much safer than smoking, but there is also some evidence that they may have undesirable short and long-term effects, particularly on the heart. It was irresponsible for a national newspaper to claim that vaping is just as dangerous as smoking. There is no evidence for that claim. However, there is still a lot that we do not know. Therefore, I now repeat the call I made during the recent debate on the EU tobacco directive: we need more research. After all, we now have many thousands of users, and I am sure many would be happy to co-operate with research.

It is estimated that over 200,000 children take up smoking every year. I call on the Government to ensure that every child has good-quality PSHE lessons in which the dangers of smoking are emphasised. I welcome the proposed removal of packets of less than 20 cigarettes, which used to be so popular with children, and also the plain packaging and larger pictorial health warnings. I hope that Brexit does not get in the way of all that.

The BMA calls for more measures to protect others from second-hand smoke. This is particularly important for children. Since we cannot ban smoking in people’s own homes, it is really important to help all smokers voluntarily give up smoking or never to smoke when children are present. Those on these Benches fought for the legislation that banned smoking in cars with children present, but the ban is not being properly enforced. Will the Government carry out a public information campaign about this and encourage the police to enforce the law?